KELSEY JEAN VANDERWIERE CPNP-AC
NPI 1225670276
Nurse Practitioner - Pediatrics in Grand Rapids, MI

Q: What is Kelsey Vanderwiere's NPI number?

The NPI number for Kelsey Vanderwiere is 1225670276. It was assigned to this individual provider in the NPPES registry on October 10, 2019.

Q: What is Kelsey Vanderwiere's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since October 10, 2019PECOS Enrolled

35 MICHIGAN ST NE FL 2, GRAND RAPIDS, MI 49503(616) 267-1925(616) 267-1005 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2025, May 8, 2025, Sep 30, 2024 and 2 more (5 updates tracked since 2019).

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About Kelsey Jean Vanderwiere Cpnp-ac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELSEY JEAN VANDERWIERE CPNP-AC (NPI 1225670276) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (20199763) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225670276

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKELSEY JEAN VANDERWIERECredential: CPNP-AC

Location Address35 MICHIGAN ST NE FL 2Grand Rapids, MI 49503-2514

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560

Phone(616) 267-1925

Fax(616) 267-1005

Sole ProprietorNo

Enumeration DateOctober 10, 2019

Last NPPES UpdateJune 11, 20255 updates tracked since enumeration

NPPES CertifiedJune 11, 2025

✔ NPI 1225670276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MI · 20199763

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 20199763 (MI)

35 MICHIGAN ST NE FL 2, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Jean Vanderwiere Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALLISON MARIE CHAMPNEY SCHNEPP M.D.

Pediatrics (Pediatric Hematology-Oncology)